Evidence-based Clinical Care: Complete Joint Replacement

This course provides evidence-based data supporting the standardization of care throughout Baptist Health for complete joint replacements. Included in this course are treatment algorithms, physician resources and the new quality metrics by which all medical staff will be evaluated.

NOTE: Physicians should bookmark this course to access all protocols, policies and procedures at your convenience via your CME Portal account. All algorithms will be available on CERNER. 

Target Audience

Orthopedists and Sports Medicine Specialists.

Learning Objectives

  • Implement standardization and explain the necessity for the creation of a clinical pathway for total joint replacement patients based on current, evidence-based best practices.
  • Utilize the current guidelines for pre- and postoperative treatment of the elective total joint replacement patient and total joint replacement power plan for all patients with elective total joint arthroplasty. 
  • Recognize the significance of Care C2 metrics monitoring as it relates to decreasing clinical variation.
  • Employ standards for preoperative preparation of the patient along with perioperative efficiency enhancements and postoperative protocols for best outcomes.
  • Initiate aspirin anticoagulation therapy for low-risk patients.
Additional information
Bibliography: 
  • Marie D. Westby et al. Expert Consensus on Best Practices for Post–Acute Rehabilitation After Total Hip and Knee Arthroplasty: A Canada and United States Delphi Study. Arthritis Care & Research. 2014;Vol. 66, No. 3, March 2014, pp 411–423.
  • Pua YH and Ong PH. Association of early ambulation with length of stay and costs in total knee arthroplasty: retrospective cohort study. American Journal of Physical Medicine & Rehabilitation. 2014: 93(11):962-70.
  • Tayrose G;  Newman D;  Slover J;  Jaffe F;  Hunter T;  Bosco J 3rd. Rapid mobilization decreases length-of-stay in joint replacement patients. Bulletin of the Hospital for Joint Disease. 2013; 71(3):222-6, 2013.
Resources: 

How to save power plans (EBCC order sets) to your favorites on CERNER? Click here to access video tutorial.​

Course Summary
Available credit: 
  • 0.50 AMA PRA Category 1 Speaker Credit™
  • 0.25 General certificate of attendance
Course opens: 
11/01/2017
Course expires: 
11/01/2019

Alexander van der Ven, M.D.
Orthopedic Surgeon 
Baptist, South Miami, Doctors and West Kendall Baptist Hospitals 

Alexander van der Ven, M.D., indicated that neither he nor his spouse/partner has relevant financial relationships with commercial interest companies, and he will not include off-label or unapproved product usage in his presentation or discussion. 

Non-faculty contributors and others involved in the planning, development and editing/review of the content have no relevant financial relationships to disclose. 

Disclosure Policy and Disclaimer

Baptist Health South Florida is accredited by the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing medical education for physicians. Baptist Health has been re-surveyed by the ACCME and awarded Commendation for 6 years as a provider of CME for physicians.
              
Baptist Health South Florida designates this enduring material for a maximum of 1 AMA PRA Category 1 Credit™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Available Credit

  • 0.50 AMA PRA Category 1 Speaker Credit™
  • 0.25 General certificate of attendance
Please login or register for a Baptist Health CME account to take this course.

Required Hardware/Software

This site is best viewed on the two most recent stable releases of the following browsers for all public pages:

PCs Running Windows

  • Google Chrome (Preferred): Download free web browser for PC, Mac, phone and tablet
  • Internet Explorer (IE 11 and above recommended): You will be prompted to download videos before you are able to view. Click “download” to view video.  After a momentary pause, the recording will play. 
  • Mozilla Firefox: You may be prompted under the “This Connection is Untrusted” screen to add “cmeonline.baptisthealth.net” and “cdn.baptisthealth.net” under “add exceptions”.

Apple Computers Running OSX

  • Google Chrome (Preferred): Download free web browser for PC, Mac, phone and tablet
  • Safari
  • Mozilla Firefox: You may be prompted under the “This Connection is Untrusted” screen to add “cmeonline.baptisthealth.net” and “cdn.baptisthealth.net” under “add exceptions”.

This site uses a responsive design, which allows the page layout of elements to change depending on the screen resolution. Certain functionality may change based on the screen resolution of smaller screens, such as the number of columns in a table.

Technical Support: If you are experiencing technical difficulties or have received an error message, please send an email to CME@BaptistHealth.net and include a print screen of the error message, your browser name and version, username and URL where the error occurred. You can expect a response within 48 hours.